Determinar la incidencia de mastitis puerperal en pacientes de 20 a 28 años de edad y sus consecuencias, atendidas en la Maternidad Dra. Matilde Hidalgo de Procel de Guayaquil desde el mes de mayo del 2014 a octubre del 2015
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2015
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Obstetricia
Resumen
La mastitis puerperal es el trastorno más común de tipo inflamatorio en la mama activada por
el proceso de la lactancia, que se puede presentar en 1-10% de mujeres en período de
lactancia, durante las tres primeras semanas del post-parto. Es más frecuente en primíparas
que en multíparas. (Pedroza, 2010).En nuestro país el tener desconocimiento sobre los
diferentes factores de riesgo principalmente sobre la técnica inadecuada de la lactancia
materna que amenaza con el vaciamiento inadecuado de la leche materna y una buena
higiene son las causas más significativas que provocan que ascienda el índice de la mastitis
puerperal por este motivo esta investigación está encaminada a brindar información por
medio de charlas educativas y realizar un protocolo como medida de prevención hacia la
población en estadio puérperas sino también en mujeres de edad reproductiva.El universo de
este trabajo está constituido por 868 pacientes atendidas en el Hospital Matilde Hidalgo de
Procel que presentaron afecciones en la glándula mamaria en periodo puerperio.(11.3%)
desarrollaron mastitis y (88.7%) no desarrollaron mastitis.el (29%) fue de 20 a 22 años de
edad, el (52%) fue de 23 a 25 años de edad y (20%) que es el menor porcentaje fue 26 – 28
años.el (59%) no presentaron mastitis puerperal y un (41%) presentaron la
enfermedad.(52%) tenían una técnica adecuada para la lactancia materna mientras que el
(41%) de las pacientes presentaron una técnica inadecuada para amamantar y el (7%) de
pacientes presentaron estasis lácteo. el 51% la mastitis puerperal se presentó con un periodo
intergenésico de mayor a un año seguido del 29% en pacientes con un periodo intergenésico
menor a un año y un 20% de pacientes con un periodo intergenésico mayor a dos años. De
acuerdo a los criterios de inclusión y exclusión la muestra se redujo a 98 pacientes
Puerperal mastitis is the most common inflammatory disorder of the breast activated by the process of breastfeeding, which can occur in 1-10% lactating women during the first three weeks postpartum. It is more common in primiparous than multiparous. (Pedroza) In our country, have ignorance about different risk factors mainly on inadequate breastfeeding technique that threatens to inadequate emptying of breast milk and good hygiene are the most significant causes of the index to rise puerperal mastitis for this reason this research is aimed at providing information through educational lectures and perform a protocol as a preventive measure to the population in postpartum stadium but also in women of reproductive age. The universe of this study consists of 868 patients treated at the Hospital of Procel Matilde Hidalgo presenting conditions in the mammary gland in postpartum period. (11.3%) developed mastitis (88.7%) they did not develop mastitis. the (29%) was 20 to 22 years of age, (52%) was 23 to 25 years of age (20%) it is the lowest percentage was 26 to 28 years. the (59%) had no puerperal mastitis-one (41%) had the disease. (52%) had a suitable technique for breastfeeding while (41%) patients had an inadequate breastfeeding technique and (7%) of patients had milk stasis. 51% puerperal mastitis was presented with a intergenesic period longer than one year followed by 29% in patients with less than one year intergenesic period and 20% of patients with more than two years intergenesic period. According to inclusion and exclusion criteria the sample was reduced to 98 patients
Puerperal mastitis is the most common inflammatory disorder of the breast activated by the process of breastfeeding, which can occur in 1-10% lactating women during the first three weeks postpartum. It is more common in primiparous than multiparous. (Pedroza) In our country, have ignorance about different risk factors mainly on inadequate breastfeeding technique that threatens to inadequate emptying of breast milk and good hygiene are the most significant causes of the index to rise puerperal mastitis for this reason this research is aimed at providing information through educational lectures and perform a protocol as a preventive measure to the population in postpartum stadium but also in women of reproductive age. The universe of this study consists of 868 patients treated at the Hospital of Procel Matilde Hidalgo presenting conditions in the mammary gland in postpartum period. (11.3%) developed mastitis (88.7%) they did not develop mastitis. the (29%) was 20 to 22 years of age, (52%) was 23 to 25 years of age (20%) it is the lowest percentage was 26 to 28 years. the (59%) had no puerperal mastitis-one (41%) had the disease. (52%) had a suitable technique for breastfeeding while (41%) patients had an inadequate breastfeeding technique and (7%) of patients had milk stasis. 51% puerperal mastitis was presented with a intergenesic period longer than one year followed by 29% in patients with less than one year intergenesic period and 20% of patients with more than two years intergenesic period. According to inclusion and exclusion criteria the sample was reduced to 98 patients
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Período posparto, Enfermedades de la mama, Mastitis, Lactancia materna, Hospital Materno Infantil Dra. Matilde Hidalgo de Procel, Cantón Guayaquil, Ecuador